摘要本例25岁男性患者，以情绪问题起病，服用抗精神病药、抗抑郁药后出现不自主运动，初期误诊为精神药物所致迟发性运动障碍，因不自主运动症状严重、治疗无效、家族史特殊，故行基因检测示 VPS13A基因突变，结合红细胞涂片检查，最终确诊为舞蹈病-棘红细胞增多症。本文通过报道此例患者，以期提高精神科医生对于运动障碍的鉴别能力，及早识别以不自主运动为主要表现的神经系统疾病。

abstractsThe patient was a 25-year-old male who initially presented with emotional issues and later developed involuntary movements following the use of antipsychotic and antidepressant medications. He was initially misdiagnosed with Tardive Dyskinesia, a condition commonly associated with psychotropic drugs. However, due to the severity of his involuntary movements, the ineffectiveness of treatment, and a notable family history, genetic testing was performed. The test indicated a mutation in the VPS13A gene of the patient, and provided evidence for a final diagnosis of Chorea Acanthocytosis. This case report aims to enhance the recognition of movement disorders among psychiatrists and facilitate earlier identification of neurological diseases whose primary manifestation is involuntary movement.